A Roadmap for Early Management of Trauma Patients

Rashid Khan; Aziz Haris; Naresh Kaul; Abdullah Al-Jadidi

doi:doi:10.11648/j.ijacm.20231101.16

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A Roadmap for Early Management of Trauma Patients

Rashid Khan, Aziz Haris, Naresh Kaul, Abdullah Al-Jadidi

Published in International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 1)

Received: 3 December 2022 Accepted: 7 March 2023 Published: 15 April 2023

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Abstract

Trauma is primarily a health hazard of the young and results in loss of precious productive years. It is the leading cause of death in young adults. Most of the health care workers are faced with management of these patients on a regular basis. The concept of ‘Platinum 10 minutes’ or an extended Platinum time of 20 minutes should be strictly adhered to optimize survival. The team of well trained first responders at the accident team should ensure that the patient receives resuscitative care during the early phase of trauma management To enhance trauma care, management has been revolutionized over the past few decades by adopting evidence based recommendations that has led to improved outcome following trauma. The main issues in the acute phase of trauma management includes securing the airway and providing optimal ventilation, fluid and blood product management, control of body temperature and intracranial pressure. A well structured trauma resuscitation approach in a step-wise manner is essential to address all issues that contribute to reduction in mortality and functional disability. An optimal pre-hospital care at the site of the trauma with efficient transfer of the patients to designated trauma centres and maintaining continuity of care has been outlined in this article without daunting the reader with intricacies of trauma care.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 1)
DOI	10.11648/j.ijacm.20231101.16
Page(s)	28-31
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Trauma Management, Platinum-Ten Minutes, Golden Hour

References

[1]	Park Y, Lee GJ, Lee MA, Choi KK, Gwak J, Hyun SY et al. Major cause of preventable death in trauma patients. J Trauma Inj 2021; 34: 225-32.
[2]	Sobrino J, Shafi S. Timing and cause of death after injuries. Proc Bay Univ Med Cent 2013; 26: 120-3.
[3]	Demetriades D, Kimbrell B, Salim A, Velmahos G, Rhee P, Preston C, et al. Trauma deaths in a mature urban trauma system: is "trimodal" distribution a valid concept? J Am Coll Surg 2005; 201: 343.
[4]	Demetriades D, Murray J, Charalambides K, Alo K, Velmahos G, Rhee P, et al. Trauma fatalities: time and location of hospital deaths. J Am Coll Surg 2004; 198: 20-6.
[5]	Hakkert AS, Gitelman, Vis MA. Road Safety Performance Indicators: Theory, Deliverable D36 of the EU FP6 project SafetyNet. 2007.
[6]	Igarashi Y, Yokobori S, Yamana H, Nagakura K, Hagiwara J, Masuno T, et al. Overview of doctor-staffed ambulance use in Japan: a nationwide survey and 1-week study. Acute Med Surg 2018; 5: 316-20.
[7]	Frostick E, Johnson C. Pre-hospital emergency medicine and the trauma intensive care unit. J Intensive Care Soc 2019; 20: 242-7.
[8]	Trauma: Who cares? London: National Confidential Enquiry into Patient Outcome and Death, 2007. https://www.ncepod.org.uk/2007report2/Downloads/SIP_summary.pdf
[9]	American College of Surgeons Committee on Trauma. Advanced Trauma Life Support (ATLS) Student Course Manual, 10th, American College of Surgeons, Chicago 2018.
[10]	Trauma. Quality Standard QS166. London: National Institute for Health and Care Excellence, 2018. www.nice.org.uk/guidance/qs166/resources.
[11]	Crombie N, Doughty HA, Bishop JRB, Desai A, Dixon E, Hancox J, et al. Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital (RePHILL): a multicenter, open label, randomised, controlled, phase 3 trial. Haematology 2022; 9: E250-61.
[12]	Newgard CD, Schmicker RH, Hedges JR, Trickett JP, Davis DP, Bulger EM, et al. Emergency medical services intervals and survival in trauma: Assessment of the “golden hour” in a North American prospective cohort. Ann Emerg Med 2010; 55: 235-46.
[13]	Reed MJ, Dunn MJ, McKeown DW. Can an airway assessment score predict difficulty at intubation in the emergency department? Emerg Med J 2005; 22: 99–102.
[14]	Griesdale DE, Liu D, McKinney J, Choi PT: Glidescope ® videolaryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and metaanalysis. Can J Anaesth 2012; 59: 41–52.
[15]	Arora S, Singh PM, Trikha A. Ventilatory strategies in trauma patients. J Emerg Trauma Shock 2014; 7: 25-31.
[16]	Roberts I. Tranexamic acid in trauma: how should we use it? J Thromb Haemost 2015; 13 (Suppl 1): S 195-9.
[17]	Hadsikadic L. Current prophylactic perioperative antibiotic guifelines in trauma: A review of the literature and outcome data. Bosn J Basic Med Sci 2009; 9 (Suppl 1): S46-53.
[18]	Holcomb JB, Tilley BC, Baraniuk S, Fox EF, Wade CE, Podbielski JM et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. JAMA 2015; 313: 471-81.
[19]	Cotton B, Au B, Nunez T, Gunter OL, Robertson AM, Young PP. Predefined massive transfusion protocols are associated with a reduction in organ failure and post injury complications. J Trauma 2009; 66: 41–8.
[20]	Radwan Z, Bai Y, Matijevic, del Junco DJ, McCarthy JJ, Wade CE, Holocomb JB, et al. An emergency department thawed plasma protocol for severely injured patients. JAMA Surg 2013; 148: 170–5.
[21]	Dauer E, Goldberg A. What’s new in trauma management? Adv Surg 2019; 53: 221-233.
[22]	Magnotti LJ, Bradburn EH, Webb DL, Berry SD, Fischer PE, Zarzaur BL, et al. Admission ionized calcium levels predict the need for multiple transfusions: A prospective study of 591 critically ill trauma patients. J Trauma 2011; 70: 391–5.
[23]	Miller TE. New evidence in trauma resuscitation - is 1:1:1 the answer? Perioper Med 2013; 2 (1): 13.
[24]	Rotondo MF, Zonies DH: The damage control sequence and underlying logic. Surg Clin North Am 1997; 77 (4): 761–77.
[25]	Balvers K, Van der Horst M, Graumans M, Boer C, Binnekade JM, Goslings JC, et al. Hypothermia as a predictor for mortality in trauma patients at admittance to the Intensive Care Unit. J Emerg Trauma Shock 2016; 9: 97–102.
[26]	Haske D, Böttiger BW, Bouillon B, Fischer M, Gaier G, Gliwitzky B, et al. Analgesia in patients with trauma in emergency medicine. Dtsch Arztebl Int 2017; 114: 785–792.

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APA Style

Rashid Khan, Aziz Haris, Naresh Kaul, Abdullah Al-Jadidi. (2023). A Roadmap for Early Management of Trauma Patients. International Journal of Anesthesia and Clinical Medicine, 11(1), 28-31. https://doi.org/10.11648/j.ijacm.20231101.16

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ACS Style

Rashid Khan; Aziz Haris; Naresh Kaul; Abdullah Al-Jadidi. A Roadmap for Early Management of Trauma Patients. Int. J. Anesth. Clin. Med. 2023, 11(1), 28-31. doi: 10.11648/j.ijacm.20231101.16

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AMA Style

Rashid Khan, Aziz Haris, Naresh Kaul, Abdullah Al-Jadidi. A Roadmap for Early Management of Trauma Patients. Int J Anesth Clin Med. 2023;11(1):28-31. doi: 10.11648/j.ijacm.20231101.16

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@article{10.11648/j.ijacm.20231101.16,
  author = {Rashid Khan and Aziz Haris and Naresh Kaul and Abdullah Al-Jadidi},
  title = {A Roadmap for Early Management of Trauma Patients},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {11},
  number = {1},
  pages = {28-31},
  doi = {10.11648/j.ijacm.20231101.16},
  url = {https://doi.org/10.11648/j.ijacm.20231101.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231101.16},
  abstract = {Trauma is primarily a health hazard of the young and results in loss of precious productive years. It is the leading cause of death in young adults. Most of the health care workers are faced with management of these patients on a regular basis. The concept of ‘Platinum 10 minutes’ or an extended Platinum time of 20 minutes should be strictly adhered to optimize survival. The team of well trained first responders at the accident team should ensure that the patient receives resuscitative care during the early phase of trauma management To enhance trauma care, management has been revolutionized over the past few decades by adopting evidence based recommendations that has led to improved outcome following trauma. The main issues in the acute phase of trauma management includes securing the airway and providing optimal ventilation, fluid and blood product management, control of body temperature and intracranial pressure. A well structured trauma resuscitation approach in a step-wise manner is essential to address all issues that contribute to reduction in mortality and functional disability. An optimal pre-hospital care at the site of the trauma with efficient transfer of the patients to designated trauma centres and maintaining continuity of care has been outlined in this article without daunting the reader with intricacies of trauma care.},
 year = {2023}
}

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TY  - JOUR
T1  - A Roadmap for Early Management of Trauma Patients
AU  - Rashid Khan
AU  - Aziz Haris
AU  - Naresh Kaul
AU  - Abdullah Al-Jadidi
Y1  - 2023/04/15
PY  - 2023
N1  - https://doi.org/10.11648/j.ijacm.20231101.16
DO  - 10.11648/j.ijacm.20231101.16
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 28
EP  - 31
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20231101.16
AB  - Trauma is primarily a health hazard of the young and results in loss of precious productive years. It is the leading cause of death in young adults. Most of the health care workers are faced with management of these patients on a regular basis. The concept of ‘Platinum 10 minutes’ or an extended Platinum time of 20 minutes should be strictly adhered to optimize survival. The team of well trained first responders at the accident team should ensure that the patient receives resuscitative care during the early phase of trauma management To enhance trauma care, management has been revolutionized over the past few decades by adopting evidence based recommendations that has led to improved outcome following trauma. The main issues in the acute phase of trauma management includes securing the airway and providing optimal ventilation, fluid and blood product management, control of body temperature and intracranial pressure. A well structured trauma resuscitation approach in a step-wise manner is essential to address all issues that contribute to reduction in mortality and functional disability. An optimal pre-hospital care at the site of the trauma with efficient transfer of the patients to designated trauma centres and maintaining continuity of care has been outlined in this article without daunting the reader with intricacies of trauma care.
VL  - 11
IS  - 1
ER  -

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Author Information

Rashid Khan

Department in Anesthesia & ICU, Khoula Hospital, Muscat, Sultanate of Oman
Aziz Haris

Department in Anesthesia & ICU, Khoula Hospital, Muscat, Sultanate of Oman
Naresh Kaul

Department in Anesthesia & ICU, Khoula Hospital, Muscat, Sultanate of Oman
Abdullah Al-Jadidi

Department in Anesthesia & ICU, Khoula Hospital, Muscat, Sultanate of Oman

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Plain Text BibTeX RIS

APA Style

Rashid Khan, Aziz Haris, Naresh Kaul, Abdullah Al-Jadidi. (2023). A Roadmap for Early Management of Trauma Patients. International Journal of Anesthesia and Clinical Medicine, 11(1), 28-31. https://doi.org/10.11648/j.ijacm.20231101.16

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ACS Style

Rashid Khan; Aziz Haris; Naresh Kaul; Abdullah Al-Jadidi. A Roadmap for Early Management of Trauma Patients. Int. J. Anesth. Clin. Med. 2023, 11(1), 28-31. doi: 10.11648/j.ijacm.20231101.16

Copy | Download

AMA Style

Rashid Khan, Aziz Haris, Naresh Kaul, Abdullah Al-Jadidi. A Roadmap for Early Management of Trauma Patients. Int J Anesth Clin Med. 2023;11(1):28-31. doi: 10.11648/j.ijacm.20231101.16

Copy | Download

@article{10.11648/j.ijacm.20231101.16,
  author = {Rashid Khan and Aziz Haris and Naresh Kaul and Abdullah Al-Jadidi},
  title = {A Roadmap for Early Management of Trauma Patients},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {11},
  number = {1},
  pages = {28-31},
  doi = {10.11648/j.ijacm.20231101.16},
  url = {https://doi.org/10.11648/j.ijacm.20231101.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231101.16},
  abstract = {Trauma is primarily a health hazard of the young and results in loss of precious productive years. It is the leading cause of death in young adults. Most of the health care workers are faced with management of these patients on a regular basis. The concept of ‘Platinum 10 minutes’ or an extended Platinum time of 20 minutes should be strictly adhered to optimize survival. The team of well trained first responders at the accident team should ensure that the patient receives resuscitative care during the early phase of trauma management To enhance trauma care, management has been revolutionized over the past few decades by adopting evidence based recommendations that has led to improved outcome following trauma. The main issues in the acute phase of trauma management includes securing the airway and providing optimal ventilation, fluid and blood product management, control of body temperature and intracranial pressure. A well structured trauma resuscitation approach in a step-wise manner is essential to address all issues that contribute to reduction in mortality and functional disability. An optimal pre-hospital care at the site of the trauma with efficient transfer of the patients to designated trauma centres and maintaining continuity of care has been outlined in this article without daunting the reader with intricacies of trauma care.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - A Roadmap for Early Management of Trauma Patients
AU  - Rashid Khan
AU  - Aziz Haris
AU  - Naresh Kaul
AU  - Abdullah Al-Jadidi
Y1  - 2023/04/15
PY  - 2023
N1  - https://doi.org/10.11648/j.ijacm.20231101.16
DO  - 10.11648/j.ijacm.20231101.16
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 28
EP  - 31
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20231101.16
AB  - Trauma is primarily a health hazard of the young and results in loss of precious productive years. It is the leading cause of death in young adults. Most of the health care workers are faced with management of these patients on a regular basis. The concept of ‘Platinum 10 minutes’ or an extended Platinum time of 20 minutes should be strictly adhered to optimize survival. The team of well trained first responders at the accident team should ensure that the patient receives resuscitative care during the early phase of trauma management To enhance trauma care, management has been revolutionized over the past few decades by adopting evidence based recommendations that has led to improved outcome following trauma. The main issues in the acute phase of trauma management includes securing the airway and providing optimal ventilation, fluid and blood product management, control of body temperature and intracranial pressure. A well structured trauma resuscitation approach in a step-wise manner is essential to address all issues that contribute to reduction in mortality and functional disability. An optimal pre-hospital care at the site of the trauma with efficient transfer of the patients to designated trauma centres and maintaining continuity of care has been outlined in this article without daunting the reader with intricacies of trauma care.
VL  - 11
IS  - 1
ER  -

Copy | Download